Abstract
Efficacy of Beckman oral motor training combined with laryngeal vibration therapy for dysphagia in children with cerebral palsy
  
DOI:10.3870/zgkf.2026.08.007
EN KeyWords: Beckman oral motor training  laryngeal vibration therapy  cerebral palsy  dysphagia  surface electromyography
Fund Project:江苏省卫生健康委面上青年项目(No.MQ2024027)
作者单位
李明娣 苏州大学附属儿童医院康复科,苏州215003 
姚琬雁 苏州大学附属儿童医院康复科,苏州215003 
张何威 苏州大学附属儿童医院康复科,苏州215003 
霍洪亮 苏州大学附属儿童医院康复科,苏州215003 
顾琴 苏州大学附属儿童医院康复科,苏州215003 
梁冠军 苏州大学附属儿童医院康复科,苏州215003 
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EN Abstract:
  Objective: To observe the synergistic effect of Beckman oral motor training combined with 100 Hz laryngeal vibration therapy on oropharyngeal dysphagia in children with cerebral palsy (CP). Methods: A total of 68 children with CP and dysphagia admitted to the Children’s Hospital Affiliated to Soochow University from June 2023 to December 2024 were selected. Using the stratified block randomization method (stratified by GMFCS classification, block length = 4), they were divided into an observation group and a control group. The control group received conventional rehabilitation treatment for dysphagia. The observation group was additionally given laryngeal vibration therapy on this basis. The swallowing function of the children was evaluated using the Eating and Drinking Ability Classification System (EDACS), Standardized Swallowing Assessment (SSA), Penetration-Aspiration Scale (PAS), and surface electromyography (sEMG) before treatment and after 4 weeks of treatment. Results: After 4 weeks of treatment, SSA scores and EDACS levels in both groups significantly decreased compared with those before treatment (P<0.01), and these scores were significantly lower in the observation group than in the control group (P<0.01). The PAS score of the observation group decreased significantly (P<0.01). After treatment, the observation group was significantly better than the control group in terms of VFSS and PAS (P<0.01). The sEMG amplitude and peak value significantly increased in both groups, with statistically significant differences (P<0.01), and those in the observation group were significantly better than in the control group (P<0.01). Conclusion: Beckman oral motor training combined with laryngeal vibration therapy can significantly improve dysphagia in children with CP, and its efficacy is better than oral motor training alone. This combined therapy is worthy of promotion and application in children with CP complicated with dysphagia.
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